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General NPI Number Information
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NPI Number | 1689930927
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Entity Type | Individual
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Provider Name | KURT ADAM LUNDBERG DO
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Gender | Male
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Dates
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Enumeration Date | 04/11/2012
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 3591 S MERCY RD STE 204
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City | GILBERT
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State | AZ
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Zip | 85297-2240
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Country | US
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Telephone | 866-974-2673
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Fax | 866-939-2673
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Provider Business Mailing Address
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Address Line | 18444 N 25TH AVE STE 310
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City | PHOENIX
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State | AZ
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Zip | 85023-1266
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Country | US
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Telephone | 866-974-2673
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Fax | 866-939-2673
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 007301
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 5101019864
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 007301
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 007301
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License Number State | AZ
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